Rosalie V Matos, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02258700 Issued in NJ

Practice address

520 Westfield Ave Ste 301
Elizabeth, NJ 07208-1658

Phone

(908) 469-4375

Fax

(908) 469-4376

NPI assigned

Mar 25, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437119146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WESTFIELD AVE STE 301",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081658",
            "telephone_number": "908-469-4375",
            "fax_number": "908-469-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WESTFIELD AVE STE 301",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081658",
            "telephone_number": "908-469-4375",
            "fax_number": "908-469-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "ROSALIE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02258700",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "049870",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02420368",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Mast
• Carolyn Mateo, LPC
• Euclides Mateo, MA, LAC, CPRS
• Jorge A Matos, D.D.S., C.A.G.S.
• Manuel John Matos, D.D.S.
• Raffee Matossian, MD
• Maria M Mayancela
• Erika Lynn Mayer, PA-C
• James Frances McAnally, MD, FACC, FACP, PA
• Mary McAndrew, NP

• Pediatric Dentistry in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.